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3105 PINE ST 2018-01-01 MF Import
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3105 PINE ST 2018-01-01 MF Import
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Last modified
12/20/2018 11:53:50 AM
Creation date
2/24/2017 3:18:04 PM
Metadata
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Template:
Address Document
Street Name
PINE ST
Street Number
3105
Imported From Microfiche
Yes
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' � . . . � Yee Maybc 'No � I <br /> ' (lg) ' Recreation. Will the propoaal result in an impact upon ehe quality • <br /> or quanticy oE existing recreational opportunities? ' _ X <br /> Explanaticn• n/a ' � ' <br /> (20) Areheolozical/Hiseorical. Hill the proposal result in an alteration <br /> of a signiEicant archeological or historical site, structure, objece <br /> ot buildingZ • — X <br /> Explanation• No known arcreological or l�istorical artifacts <br /> . resentl exist on the site. ' � <br /> III. SIGNATORE <br /> I,-the undersigned, state ehat to the best of my Imwledge the above inloxmation is <br /> tnie and complete. It is understaod that the lead agency may withdraw any declasation of non- <br /> significance that it mi8ht issue in reliance upon this checklist should there be any misrepzesen- <br /> t�tion or lack of full disclosure on my part. <br /> Yroponent: ' <br /> . /4- �_' � : <br /> Ip. DECLA.'tATION OF RESPONSIBLE OFFICIAL: I <br /> t <br /> The abave described project is a major action wit (sigr3ficant, insi icant , � <br /> 3mpact and (will, will not) require an Enviranmental Impact Statement. ' , � <br /> , <br /> i <br /> . � , � <br /> i <br /> i <br /> � <br /> ' • Respousible Offici.al � � <br /> _ - { <br /> , �. <br /> � . , ( <br />
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